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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COURTNEY BROOKE WALLACE, PT

Active

COURTNEY BROOKE WALLACE, PT is a Contractor healthcare provider located in RALEIGH, North Carolina. NPI 1285877217 is currently active in the NPPES registry. Verify at CMS.

Contractor · RALEIGH, NC

Registration Details

NPI Number
1285877217
Provider Type
Individual
Gender
Female
NPI Issued
Apr 6, 2009 (17.356637249935 yrs)
Last Updated
Jan 22, 2021
License
8974 (NC)

Practice Information

Address
3601 WINDEMERE PL
RALEIGH, NC, 276045961
Browse NC providers · Browse ZIP 27604
Phone
9196010149
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in RALEIGH, NC

Name Credential NPI
AKIN BEY OWNER 1518289537
SHARON CLARK 1619388469
DEANNA GRAVES 1497167100
DAVID WALLACH 1033595772
CLIFFORD THOMAS 1437524329
KAVITA JOSHI PT 1366985194
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.